| NPI | 1164881264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA J NYMAN Owner 404-368-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006000) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC002675) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |